Organization Active NPI

Marjorie G. Welsh, LLC.

  • Clinical Psychologist
  • Duxbury, MA
National Provider Identifier
1518214147
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9121 Issued in MA
Legal business name
MARJORIE G. WELSH, LLC.
Practice address
20 Tremont St
Suite 31
Duxbury, MA 02332-5310
Phone
(508) 989-6859
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marjorie G Welsh, PSY.D.NPI 1366770521
Title
Clinical Psychologist
Phone
(508) 989-6859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9121 MA Primary

Addresses

Primary practice location

20 Tremont St
Suite 31
Duxbury, MA 02332-5310

Mailing address

20 Tremont St
Suite 31
Duxbury, MA 02332-5310
Phone (508) 989-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000142 MA Part B Supplier - Clinic/Group Practice 1658521802 Receives reassigned benefits from 1 practitioner
Practice locations: Duxbury, MA

National Provider Directory

National Provider Directory

Locations

20 Tremont St
Ste 29
Duxbury, MA 02332
Phone (508) 989-6859

20 Tremont St
Ste 31
Duxbury, MA 02332
Phone (339) 499-8464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1518214147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST",
            "address_2": "SUITE 31",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325310",
            "telephone_number": "508-989-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST",
            "address_2": "SUITE 31",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325310",
            "telephone_number": "508-989-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE G. WELSH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-989-6859",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.